After receiving a skin cancer diagnosis, many patients are faced with the prospect of skin cancer treatment, which often includes surgery. For example, MOHS micrographic surgery is used to treat squamous cell carcinoma, melanoma-in-situ, and primary basal cell carcinoma. Since the surgery is so detailed and technical, it’s imperative to seek treatment from an experienced surgeon who meticulously performs the surgery to effectively remove a patient’s cancer. At Couture Dermatology & Plastic Surgery, Dr. Grace Kim performs this procedure with a skill that makes her one of the most sought MOHS surgeons in the Las Vegas Valley. Contact us today to schedule your consultation.
"This is a really awesome plastic surgery Dr. If you are wanting to get some work done this is the place. Pricing is reasonable too!"- J.B. / Yelp / Nov 07, 2018
"The Dr. M Spann was very professional and made me feel comfortable during my consultation . He listened to what I wanted and provided detailed result expectations. My procedure and follow up experience was excellent. Thank you Couture!"- S.H. / Google / Nov 01, 2018
"Dr. Kim is incredible! She's so kind every time I see her and she's cleared my skin so fast!"- Y.N. / Yelp / Oct 29, 2018
"Dr. Kim is outstanding! She is well trained and truly cares about her patients. Her support staff is great also."- P.J. / Yelp / Oct 28, 2018
"Cancer, nobody wants to hear about it, even when they tell you it is 100% treatable. I needed to get surgery to remove the affected area, Dr. Grace Kim personally called me to schedule the appointment and to make sure that I understood the procedure. This was more than I expected, much more, she was so kind, really taking her time to make sure that I was comfortable. I arrived for my appointment expecting to spend the entire morning waiting and not getting out for four hours, based on my previous experience with MOH's surgery for skin cancer. Much to my surprise I got this one early, thanks to regular skin inspections, and was done well before lunch. The staff and the Dr.'s at Couture made this and every other visit so pleasant and quick. I have been kept informed about all options and findings. I have been greeted with a smile and treated with kindness and professionalism. Dr. Kim and Dr. Candace Spann were compassionate and concise, not wasting my time or theirs, but answering all my questions and concerns. I really can't thank them all enough for taking care of me."- M.H. / Yelp / Oct 25, 2018
Reconstruction can often be performed the same day or the day after the removal procedure. Reconstructive procedures are performed on an individualized basis, depending on each patient's wound, and can involve a skin graft, flap of skin, stitching or surgical closure. Our dcotor will discuss the various options with the patient and together they will choose the best method or methods of treatment. Following that, we will work with the doctor performing the patient’s skin cancer removal to perform reconstruction either immediately after the removal or later if the patient chooses.
Patients may be put under local or general anesthesia depending on the location and size of the area being treated. Once the skin cancer lesion is removed, reconstruction is done using the techniques she and the patient decided on during the initial consultation. Once the reconstruction is completed, your surgeon will close and dress the wound before the patient is allowed to leave. Following that, every patient will receive post surgical instructions, including how to care for the surgical wound, what topical medications to apply, and other tips to help with the patient's recovery. Avoiding sun exposure and using sun protection will help the wound heal quicker and without irregularities, like raised, red, or darker skin. It may take up to 1 year for patients to see the final results of their skin cancer reconstruction. If needed, our staff will discuss a secondary surgery to further refine the results.
Plan Your Procedure
Will There Be Scars?
While our doctors do their best to keep their incisions small and the wound closures clean and neat, there will be some degree of scarring. Scarring can be minimized by following any post surgical wound care instructions. You can also elect to have surgical scar revision if you would like to further reduce the visibility of the scarring.
Why a Plastic Surgeon?
Even if a dermatologist removes the skin cancer growth, it is beneficial for patients to have a plastic surgeon performing the wound closure and/or skin reconstruction. Plastic surgeons are specially trained to preserve the appearance of the skin and they are more practiced at closing incisions cleanly and evenly.
When To Have Reconstruction?
It is best if patients make an appointment before their skin cancer removal so she can consult and coordinate with the doctor and facility performing the skin cancer removal. Patients may choose to have their skin reconstruction performed right after their removal surgery or they can wait to see how the wound will heal naturally. During the initial consultation, the doctor will listen to the needs and concerns of the patient and then help them determine their best timeline and treatment plan.